Individual
MISS ELIZABETH DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2668 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(469) 257-3500
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(469) 257-3500
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
647725-1
NY
363LF0000X
Family Nurse Practitioner
0024195992
VA
363LF0000X
Family Nurse Practitioner
0038754
OH
363LF0000X
Family Nurse Practitioner
340792
NY
363LF0000X
Family Nurse Practitioner
Primary
5012619
NC
363LF0000X
Family Nurse Practitioner
71017746A
IN
Other
Enumeration date
03/06/2013
Last updated
03/06/2026
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